摘要
目的:探讨应用多根克氏针经皮固定联合生血补髓汤治疗老年肱骨外科颈骨折的临床应用效果及安全性.方法:选取惠州华康医院2020年1月-2022年4月收治的60例老年肱骨外科颈骨折患者为研究对象,按照随机数字表法分为研究组和对照组,每组30例,研究组采用经皮多根克氏针固定联合生血补髓汤治疗,对照组采用经皮多根克氏针固定治疗.比较2组患者的肩关节功能康复情况、疗效及血清钙(OC)、25-羟基维生素D3(25-(OH)-D3)、血红蛋白(HB)、谷丙转氨酶(ALT)、尿素(Urea)、肌酐(Cr)检测结果的数值.结果:术后6个月,研究组Neer肩关节功能各个项目评分均高于对照组,组间差异有统计学意义(P<0.05);研究组优良率均高于对照组,差异有统计学意义(P<0.05);研究组OC、25-(OH)-D3、HB均高于对照组,差异有统计学意义(P<0.05);2组ALT、Urea、Cr比较,差异无统计学意义(P>0.05).结论:老年肱骨外科颈骨折患者接受经皮多根克氏针内固定、生血补髓汤联合治疗可获得更优疗效,有利于促进老年患者骨折愈合,加速肩关节功能康复,是治疗老年肱骨外科颈骨折的一种安全、有效的治疗方法,对提高及保障老年患者生活质量、身心健康具有重要临床价值.
Objective:To explore the clinical efficacy and safety of percutaneous fixation with multiple Kirschner wires combined with Shengxue Bushui Decoction in the treatment of surgical neck fractures of the humerus in the elderly.Methods:60 elderly patients with surgical neck fracture of humerus admitted to Huakang Hospital of Huizhou from January 2020 to April 2022 were selected as the study objects,and were divided into study group and control group according to random number table method,with 30 cases in each group.The study group was treated with percutaneous Dogenk's needle fixation combined with Shengxue Busheng Decoction,and the control group was treated with percutaneous Dogenk's needle fixation.The rehabilitation status of shoulder joint function,curative effect and serum calcium(OC),25-hydroxyvitamin D3(25-(OH)-D3),hemoglobin(HB),alanine aminotransferase(ALT),Urea(Urea)and cre-atinine(Cr)were compared between 2 groups.Results:Six months after surgery,Neer shoulder joint function scores in the study group were higher than those in the control group,and the difference between the groups was statistically significant(P<0.05);the excellent and good rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05);OC,25-(OH)-D3 and HB in the study group were higher than those in the control group,the difference was statistically significant(P<0.05);there were no significant differences in ALT,Urea and Cr between two groups(P>0.05).Conclusion:The treatment of elderly patients with surgical neck fractures of the humerus with percutaneous multi root Kirschner wire internal fixation and Sheng Xue Bu Shui Tang can achieve better efficacy,which is conducive to promoting fracture healing in elderly patients and accelerating functional recovery of the shoulder joint.It is a safe and effective treatment method for elderly patients with surgical neck fractures of the humerus,and has im-portant clinical value in improving and ensuring the quality of life and physical and mental health of elderly patients.
作者
肖兴
刘海亮
古治中
XIAO Xing;LIU Hailiang;GU Zhizhong(Huizhou huakang hospital,Huizhou,Guangdong 516007)
出处
《中国伤残医学》
2024年第6期76-80,共5页
Chinese Journal of Trauma and Disability Medicine
基金
惠州市科技局惠州市科技计划(医疗卫生)项目(2021WC0106085)。
关键词
肱骨外科颈骨折
老年
多根克氏针固定
生血补髓汤
安全性
Fracture of surgical neck of humerus
Old age
Multiple Kirschner wires fixation
Sheng Xue Bu Sui Tang
Security
